Identifying asthma exacerbations in a pediatric emergency department: a feasibility study

International Journal of Medical Informatics
David L SandersDominik Aronsky

Abstract

Asthma is a common pediatric chronic disease and is estimated to account for more than 2million emergency department visits per year. Asthma guidelines have demonstrated improved outcomes, but remain underutilized due to several barriers. Computerized methods to automatically identify asthma exacerbations may be beneficial to initiate guideline recommended treatment, but have not been described. The goal of the study was to examine the accuracy of an algorithm to identify asthma patients at triage in real-time using only electronically available data. During a 9-month period, the five most frequent presenting chief complaints for Emergency Department asthma patients aged 2-18 years were identified and accounted for >95% of asthma visits: wheezing, shortness of breath, fever, cough, and dyspnea. During a following 1-month period (November 2004), medical records of all patients with one of the five chief complaints were reviewed to establish a reference standard diagnosis. An asthma identification algorithm was developed that considered only data available in electronic format at the time of triage and included the presenting chief complaint, information from the computerized problem list (past medical history; current medication...Continue Reading

Citations

Jan 8, 2009·Journal of the American Medical Informatics Association : JAMIA·Lucia Ohno-Machado, Randolph A Miller
Jun 21, 2014·Computer Methods and Programs in Biomedicine·Hsueh-Chun LinJing-Long Huang
Dec 22, 2007·Journal of the American Medical Informatics Association : JAMIA·Dominik AronskyCorey M Slovis
Dec 12, 2012·International Journal of Medical Informatics·Judith W DexheimerDominik Aronsky
Nov 3, 2010·Annals of Emergency Medicine·Marion R SillsMichael G Kahn
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Dec 25, 2012·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Donald H ArnoldTina V Hartert
Jan 13, 2015·Canadian Journal of Physiology and Pharmacology·Jeremy Mark Hernandez, Luke Jeffrey Janssen
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Oct 15, 2020·American Journal of Respiratory and Critical Care Medicine·Dinah FoerKatherine N Cahill

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